Individual
AMANDA NICOLE KU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
726 4TH ST, MARYSVILLE, CA 95901-5656
(530) 749-4450
Mailing address
726 4TH ST, MARYSVILLE, CA 95901-5656
(530) 749-4450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
36189
CA
Other
Enumeration date
05/16/2022
Last updated
07/08/2024
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